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- W2000855558 abstract "You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology (I)1 Apr 20131964 COUNSELING ON SEXUAL SIDE EFFECTS PRIOR TO SURGICAL TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA Diana K. Bowen, John Cashy, and Kevin T. McVary Diana K. BowenDiana K. Bowen Chicago, IL More articles by this author , John CashyJohn Cashy Chicago, IL More articles by this author , and Kevin T. McVaryKevin T. McVary Springfield, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2383AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Sexual side effects are common following transurethral resection of the prostate (TURP) with rates approximately 65-70% for retrograde ejaculation (EjD) and 14% for erectile dysfunction (ED). It is unknown whether appropriate counseling is done by urologists prior to monopolar/bipolar TURP (MBT) or laser TURP (LT), and whether this might vary by urologic subspecialty, specifically those who self-identify as sexual medicine experts. METHODS A survey using a balanced Likert scale was distributed to the members of both the North Central Section (NCS) of the AUA and the Sexual Medicine Society of North America (SMSNA). Overall, 260 respondents completed the questionnaire regarding their counseling habits prior to MBT and LT with regard to EjD and ED. Counseling for stricture formation and incontinence was assessed as well. A subset analysis was performed between those identifying as sexual medicine (SM) versus all others (AO). RESULTS Overall 74% identified as general urologists and 18% (49) as SM. Two-thirds are in private practice versus academic, and the vast majority (67%) located in the Midwest. Over 90% of all practitioners “almost always” counsel about the possibility of EjD, however the risk percentage they quote varies widely, especially pronounced with LT [Figure 1]. Regarding ED, overall 62% for MBT and 60% for LT “almost always” counsel, but on the other end of the spectrum 27% of SM practitioners only counsel “< 20% of the time” (MBT). 60 and 62% (MBT and LT) overall “almost always” counsel on risk of stricture formation, however only 51% of SM practitioners do so for LT compared to 68% for MBT. There was no significant difference between groups for counseling on incontinence. CONCLUSIONS Sexual side effects of treatment for BPH are underappreciated by urologists but likely play a prominent role in patient decision-making, creating a disparity between provider and patient. Most practitioners do counsel about EjD however the incidence quoted varies widely for both MBT and LT. Practitioners counsel their patients on ED less often than EjD. Counseling rates are not improved with those specializing in sexual medicine. These practices can be improved in the future with clarity on actual rates of sexual side effects as larger prospective studies and long-term outcomes for TURP become available. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e806 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Diana K. Bowen Chicago, IL More articles by this author John Cashy Chicago, IL More articles by this author Kevin T. McVary Springfield, IL More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ..." @default.
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- W2000855558 title "1964 COUNSELING ON SEXUAL SIDE EFFECTS PRIOR TO SURGICAL TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA" @default.
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